Ortho ewh rgd without jnt cstm w/fit&adj at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$157.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$197.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$110.54 with Blue_Cross vs $4,389.63 with Highmark — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $110.54 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $110.58 | ↓ -30% |
| UPMC_Medicaid | All_Plans | $122.53 | ↓ -22% |
| PHC | All_Plans | $157.60 | ↑ +0% |
| UPMC | UPMC_For_Kids | $157.60 | ↑ +0% |
| UPMC | Employees_And_Dependents | $157.60 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $157.97 | ↑ +0% |
| Cigna | All_Plans | $177.20 | ↑ +12% |
| Aetna | All_Plans | $178.09 | ↑ +13% |
| First_Health_Network | All_Plans | $180.06 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $181.24 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $183.21 | ↑ +16% |
| United_Healthcare | All_Plans | $186.56 | ↑ +18% |
| Geisinger | All_Plans | $187.15 | ↑ +19% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $221.50 | ↑ +41% |
| Aetna_Better_Health_Kids | All_Plans | $602.48 | ↑ +282% |
| Health_Partners_Medicaid | All_Other_Plans | $751.25 | ↑ +377% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $751.25 | ↑ +377% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $751.25 | ↑ +377% |
| Highmark_Medicare | All_Plans | $758.76 | ↑ +381% |
| Aetna_Advantra_Medicare | All_Plans | $773.79 | ↑ +391% |
| Aetna_Medicare | All_Plans | $773.79 | ↑ +391% |
| Devoted_Medicare | All_Plans | $788.81 | ↑ +401% |
| Geisinger_Gold_Medicare | All_Plans | $788.81 | ↑ +401% |
| United_Medicare | ISNP_DSNP_Plans | $788.81 | ↑ +401% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $792.19 | ↑ +403% |
| Amerihealth_Medicare | All_Plans | $792.57 | ↑ +403% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $811.35 | ↑ +415% |
| PA_Health_&_Wellness_Medicare | All_Plans | $811.35 | ↑ +415% |
| Health_Partners_Medicaid | Kidz_Partners | $826.38 | ↑ +424% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $905.63 | ↑ +475% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $905.63 | ↑ +475% |
| Highmark | Higmark_Healthy_Kids | $1,126.88 | ↑ +615% |
| United_Medicaid | Community_Plan_For_Kids | $1,314.69 | ↑ +734% |
| Highmark | My_Direct_Blue | $2,633.73 | ↑ +1571% |
| Highmark | My_Priority_Blue_Flex | $2,633.73 | ↑ +1571% |
| Highmark | Blue_Cross_High_Performance_Network | $3,511.72 | ↑ +2128% |
| Highmark | Performance_Blue | $3,511.72 | ↑ +2128% |
| Highmark | Choice_Blue_PPO | $3,511.72 | ↑ +2128% |
| Highmark | All_Other_Plans | $4,389.63 | ↑ +2685% |
Visitor-reported prices
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Ortho ewh rgd without jnt cstm w/fit&adj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $436.20 | $138.13 – $581.60 |
| WellSpan Chambersburg Hospital | Chambersburg | $157.60 | $141.84 – $3,341.79 |
| WellSpan Good Samaritan Hospital | Lebanon | $157.60 | $221.50 – $1,314.69 |